353-38194-37033

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 231 / VA
Registered: 2021-01-15

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Moderna
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Feeding disorder, Oral candidiasis, Oral pain, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Oral thrush, it started yesterday 2/20/2021. The pain is moderate, I don't want to eat.. · Healthcare visit (other): I have a routine appt with my dentist tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Oral candidiasis, Oral pain, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Oral thrush, mouth & throat pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Oral candidiasis — Feeling: Fair · Fatigue or tiredness

Free text: Oral candidia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 7, dose 2
MedDRA: Oral candidiasis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Oral Candida.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 35, dose 2
MedDRA: Candida infection, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have a second outbreak of candia of the tongue (thrush). I am now under doctors treatment with anti fungal medication. · Healthcare visit (other): I saw my PCP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Bronchitis, Pneumonia, Sinusitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I developed, sinusitis, bronchitis and pneumonia. I was off work for four days on a round of Levoquin. I have also lost my job due to inability to do my work efficiently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call 1 — Left Voicemail
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-02
Call 1 — Left Voicemail
2021-12-02
Call successful
Participant prefers to complete VAERS report online
2022-02-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-17	Moderna

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Oral thrush, it started yesterday 2/20/2021. The pain is moderate, I don't want to eat..

Healthcare visit (other): I have a routine appt with my dentist tomorrow.

2021-02-22

Systemic reaction (other): Oral thrush, mouth & throat pain.

2021-02-23

Systemic reaction (other): Oral candidia.

Release 4 — day 7, dose 2

2021-02-24

Systemic reaction (other): Oral Candida.

Release 6 — day 35, dose 2

2021-03-24

Symptoms: I have a second outbreak of candia of the tongue (thrush). I am now under doctors treatment with anti fungal medication.

Healthcare visit (other): I saw my PCP.

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: I developed, sinusitis, bronchitis and pneumonia. I was off work for four days on a round of Levoquin. I have also lost my job due to inability to do my work efficiently.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	Candida infection	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Feeding disorder	✓	✓	✓
SRO	Oral candidiasis	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release